| NPI | 1104251453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX Q7127) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q7127) |
| 208M00000X Hospitalist (Licence: TX Q7127) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2022-11-07 |